MMic PBL Case 3

MMic PBL



Name: Maisy Hong

Sex: Female

Age: 67

Complaints: Fever, chills, bladder distension; on indwelling catheter
(Bladder distention on indwelling catheter: this refers to implanting a flexible or rigid hollow tube to distend body passages, or to drain fluids from body cavities. [1] )


Diagnosis: Urinary Tract Infection
(A urinary tract infection, or UTI, is an infection that can happen anywhere along the urinary tract. The urinary tract includes the bladder, kidneys, ureters and urethra.[2])

Antibiotic treatment (if any): Nil

Specimen: Urine

Gram	Shape	Possible Microorganism
Negative	bacilli	Escherichia Coli
Negative	bacilli	Proteus spp.
Negative	bacilli	Klebsiella spp.
Negative	bacilli	Serratia
Negative	bacilli	Proteus
Positive	bacilli	Pseudomonas spp.
Positive	cocci	Streptococcus spp.
Positive	cocci	Enterococcus
-	-	Candida spp. (Fungus)

Identification of Microorganism

1. Gram staining and microscopy.
2. Catalase Test.
3. Oxidase Test.
4. Biochemical Test.
5. Aerobic culture on sheep blood agar, Cysteine Lactose Electrolyte Deficient Medium, and Mac Conkey agar.
6. Antibiotics sensitivity testing.

Reference

[1] http://dictionary.reference.com/
[2]MedlinePlus. (2007) Urinary Tract Infection. Retrieved December 02, 2007, from http://www.nlm.nih.gov/medlineplus/ency/article/000521.htm>urinary tract infection

Douglas
TG01